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Smart E, Nalder E, Trentham B, King G. "What their expectations could be": a narrative study of mothers and service providers in paediatric rehabilitation. Disabil Rehabil 2023; 45:3238-3251. [PMID: 36191330 DOI: 10.1080/09638288.2022.2127935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Revised: 09/13/2022] [Accepted: 09/18/2022] [Indexed: 11/03/2022]
Abstract
PURPOSE To better understand and visualise how and why mothers' and service providers' expectations for therapy can change over time spanning their journeys and careers in the paediatric rehabilitation system. METHODS Narrative analysis was used to construct two parallel collective stories that illustrate and explain phases and turning points of developing expectations. Five mothers and nine service providers participated in interviews discussing their expectations when new and more experienced with therapy. RESULTS Each collective story had five chapters illustrating how expectations became more relational, controllable, and informed. For mothers, the chapters were: (1) expecting therapy to be a saviour; (2) being turned away and alone; (3) expecting to advocate from necessity; (4) finding new solutions in the environment; and (5) expecting to combine mother and service provider expertise. For service providers, the chapters were: (1) expecting to rescue and fix; (2) searching for an alternative sense of professional worth; (3) expecting to lose control; (4) being the authentic self before expected self; and (5) expecting the unexpected. CONCLUSIONS Mothers' experiences with feeling alone and learning ways to modify their child's environments, and service providers' experiences with feeling inadequate and embracing authenticity, were essential to the developmental trajectories of expectations.Implications for Rehabilitation:Mapping expectations for therapy on a line graph shaped as a wave shows promise in reflecting the developmental trajectory of mothers' and service providers' expectations over time.Service providers should become aware of how to work with three distinct groups of mothers as determined by the phase of expectations for therapy they are currently experiencing (i.e., hyped, disillusioned, or enlightened).Therapy programmes can optimise expectations for therapy through redesigns that emphasise elements of networking, self-compassion, ethics, and authenticity.
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Affiliation(s)
- Eric Smart
- Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada
| | - Emily Nalder
- Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada
- Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada
| | - Barry Trentham
- Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada
- Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada
| | - Gillian King
- Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada
- Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada
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Champagne M, McCrossin J, Pei J, Reynolds JN. A tornado in the family: fetal alcohol spectrum disorder and aggression during childhood and adolescence: a scoping review. Front Neurosci 2023; 17:1176695. [PMID: 37415615 PMCID: PMC10320198 DOI: 10.3389/fnins.2023.1176695] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Accepted: 05/09/2023] [Indexed: 07/08/2023] Open
Abstract
Background Aggression exhibited by children and youth with Fetal Alcohol Spectrum Disorder (FASD) toward family members is a major cause of stress and anxiety for caregivers, but relatively little attention has been directed toward designing interventions specific to this phenomenon. In light of the serious negative impact of this issue for families, a scoping review was undertaken to summarize the evidence available on psychosocial interventions that may mitigate the frequency and severity of aggression exhibited by children and youth with FASD toward family members. Methods This review was designed using PRISMA-SCR and JBI scoping review guidelines. Three databases were searched in August 2021: EMBASE, PsychINFO, and Medline. Results A total of 1,061 studies were imported for screening with only five studies meeting full eligibility criteria. None of the interventions were aimed at specifically targeting aggression and instead reported on broader constructs of externalizing behaviors such as hyperactivity. The interventions were limited to school-aged children. Studies reported primarily on child outcomes while only one reported on family related outcomes. Conclusion Following from this review of the literature, we argue that aggression is a related but separate construct from other behavioral problems most frequently targeted by parenting interventions. Given the often dire consequence of aggression displayed by children and youth with FASD and the limited number of studies, there is an urgent need for research on how to support families to manage this specific type of behavior in this population.
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Affiliation(s)
- Maude Champagne
- Centre for Neuroscience Studies, Queen’s University, Kingston, ON, Canada
| | | | - Jacqueline Pei
- Department of Educational Psychology, University of Alberta, Edmonton, AB, Canada
| | - James N. Reynolds
- Centre for Neuroscience Studies, Queen’s University, Kingston, ON, Canada
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McCrossin J, Lach L, McGrath P. Content analysis of parent training programs for children with neurodisabilities and mental health or behavioral problems: a scoping review. Disabil Rehabil 2023; 45:154-169. [PMID: 34990567 DOI: 10.1080/09638288.2021.2017493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
PURPOSE Several systematic reviews have examined parent training programs for families of children with autism spectrum disorder (ASD). The present review expands on this literature by describing the components, delivery methods, and level of parent involvement in parent training programs that target families of children with any neurodisability and comorbid disruptive behavior or other mental health problem. MATERIALS AND METHODS Following a scoping review protocol, the search strategy included randomized controlled trials of parent training programs conducted with families of children with neurodisabilities and comorbid disruptive behavior or mental health problems. Study characteristics, program content, delivery methods, and theoretical frameworks were extracted from eligible studies. RESULTS A total of 22 articles were included from the 453 full-text articles initially screened. Thirteen different programs fell into two general categories based on whether they targeted child disruptive behavior or anxiety. Analysis of the content yielded five themes: child skill enhancement, parenting as enacted, parenting as experienced, disability-related parenting, and parent-child relationships. The theoretical underpinnings were identified, when possible, from each study. CONCLUSIONS Parent training programs for parents of children with neurodisabilities targeting child anxiety involved parents in a complementary role in treatment while those targeting disruptive behavior involved parents in a primary role in creating behavior change. We suggest that the extent of parent involvement in interventions be guided by theory rather than diagnosis of the child.Implications for rehabilitationParents of children living with neurodisabilities play a key role in delivering interventions to address comorbid mental health or behavioral problems.Parent training programs for families of children with neurodisabilities vary in relation to their aims, involvement of parents in delivering interventions, disability-specific content, and delivery methods.When referring families, rehabilitation professionals should be aware of aspects of child, parent, and family relational well-being targeted by parent training programs and, when feasible, give families a choice of the style of program to meet their needs.
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Affiliation(s)
| | - Lucyna Lach
- School of Social Work, McGill University, Montreal, Canada
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The Effect of Personality, Disability, and Family Functioning on Burnout among Mothers of Children with Autism: A Path Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19031187. [PMID: 35162210 PMCID: PMC8835161 DOI: 10.3390/ijerph19031187] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/03/2021] [Revised: 01/10/2022] [Accepted: 01/19/2022] [Indexed: 02/05/2023]
Abstract
This path analysis of mothers of children with autism aimed to investigate the relationship between maternal burnout and the mother’s subjective reporting of difficulty in childcare, family function, and personality traits. A total of 410 mothers of children with autism (mean age 39.03, SD 7.42) completed four questionnaires: Parental Burnout Measure (PBM-12), International Personality Item Pool—Big Five Markers (IPIP-BFM-20), Flexibility and Cohesion Evaluation Scales (FACES-IV), and a survey on childcare difficulties. Path analysis using two predetermined models was used to examine the interrelations. Both models fit the empirical data equally with a Root Mean Square Error of Approximation (RMSEA) index of 0.000 and a 90% confidence interval (model 1: 0.000–0.052; model 2: 0.000–0.059). Path analysis revealed similar fit indexes for both models: (a) burnout is a mediator between exogenous variables and family functioning, and (b) family functioning is an indirect mediator between exogenous variables and burnout. These findings suggest that increased maternal emotional instability (neuroticism) and conscientiousness can lead to increased family communication problems, which may further lead to a breakdown of the equilibrium in the family system, resulting in the mother’s dissatisfaction with family life and a consequent increased risk of maternal burnout.
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Holt RF, Kronenberger WG, Pisoni DB. Family Environmental Dynamics Differentially Influence Spoken Language Development in Children With and Without Hearing Loss. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2022; 65:361-377. [PMID: 34818506 PMCID: PMC9150738 DOI: 10.1044/2021_jslhr-21-00220] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Revised: 07/16/2021] [Accepted: 09/07/2021] [Indexed: 05/19/2023]
Abstract
PURPOSE The aim of this study was to evaluate whether families of children with sensorineural hearing loss (SNHL) are organized similarly to those of typically developing, typically hearing (TH) children and whether the dimensions of family dynamics and environment are related to spoken language development similarly in children with and without SNHL. METHOD Primary caregivers of children with SNHL (n = 63) or TH (n = 65) completed the Family Environment Scale-Fourth Edition (FES-4) to assess multiple dimensions of family environment. Children's receptive vocabulary was assessed with the Peabody Picture Vocabulary Test-Fourth Edition, and their receptive language was assessed by an age-appropriate version of the Concepts and Following Directions subtest of the Clinical Evaluation of Language Fundamentals and the Sentence Comprehension subscale of the Comprehensive Assessment of Spoken Language-Second Edition. Principal component analysis was used to examine the dimensional structure of the family environment. RESULTS Three higher order components were derived from FES-4 subscales for both families of children with SNHL and with TH: Supportive, Controlling, and Conflicted. However, the composition of the factors themselves differed between the two groups. For the TH group, most family environment measures on the FES-4 were not associated with language outcomes. In contrast, for children with SNHL, families who were more supportive, less controlling, and less conflicted had children with better language skills. CONCLUSIONS Three well-accepted dimensions of family dynamics and functioning apply to families of children with SNHL, but their composition differs from those of families with TH children. Family environmental dynamics were much more strongly associated with language outcomes in children with SNHL than in their TH peers. The spoken language development of children with SNHL, in particular, is better in families that provide high levels of support for each other and, in particular, low levels of control, disorganization, and conflict, reflecting the fragile nature of their spoken language development.
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Affiliation(s)
- Rachael Frush Holt
- Department of Speech and Hearing Science, The Ohio State University, Columbus
| | - William G. Kronenberger
- Department of Psychiatry, Indiana University School of Medicine, Indianapolis
- DeVault Otologic Research Laboratory, Department of Otolaryngology, Indiana University School of Medicine, Indianapolis
| | - David B. Pisoni
- DeVault Otologic Research Laboratory, Department of Otolaryngology, Indiana University School of Medicine, Indianapolis
- Department of Psychological and Brain Sciences, Indiana University, Bloomington
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Gonzalez R, Thompson EL, Sanchez M, Morris A, Gonzalez MR, Feldstein Ewing SW, Mason MJ, Arroyo J, Howlett K, Tapert SF, Zucker RA. An update on the assessment of culture and environment in the ABCD Study®: Emerging literature and protocol updates over three measurement waves. Dev Cogn Neurosci 2021; 52:101021. [PMID: 34700197 PMCID: PMC8551602 DOI: 10.1016/j.dcn.2021.101021] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Revised: 08/31/2021] [Accepted: 10/14/2021] [Indexed: 11/17/2022] Open
Abstract
Advances in our understanding of risk and resilience factors in adolescent brain health and development increasingly demand a broad set of assessment tools that consider a youth's peer, family, school, neighborhood, and cultural contexts in addition to neurobiological, genetic, and biomedical information. The Culture and Environment (CE) Workgroup (WG) of the Adolescent Brain Cognitive Development (ABCD) Study curates these important components of the protocol throughout ten years of planned data collection. In this report, the CE WG presents an update on the evolution of the ABCD Study® CE protocol since study inception (Zucker et al., 2018), as well as emerging findings that include CE measures. Background and measurement characteristics of instruments present in the study since baseline have already been described in our 2018 report, and therefore are only briefly described here. New measures introduced since baseline are described in more detail. Descriptive statistics on all measures are presented based on a total sample of 11,000+ youth and their caregivers assessed at baseline and the following two years. Psychometric properties of the measures, including longitudinal aspects of the data, are reported, along with considerations for future measurement waves. The CE WG ABCD® components are an essential part of the overall protocol that permits characterization of the unique cultural and social environment within which each developing brain is transactionally embedded.
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Affiliation(s)
- Raul Gonzalez
- Center for Children and Families and Department of Psychology, Florida International University, USA.
| | - Erin L Thompson
- Center for Children and Families and Department of Psychology, Florida International University, USA
| | - Mariana Sanchez
- Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health & Social Work, Florida International University, USA
| | - Amanda Morris
- Amanda Sheffield Morris, Laureate Institute for Brain Research and Oklahoma State University, USA
| | | | | | - Michael J Mason
- Center for Behavioral Health Research, University of Tennessee, USA
| | - Judith Arroyo
- National Institute on Alcoholism and Alcohol Abuse, USA
| | | | - Susan F Tapert
- Department of Psychiatry, University of California, San Diego, USA
| | - Robert A Zucker
- Department of Psychiatry and Addiction Center, University of Michigan, USA
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Phoenix M, Reitzel M, Martens R, Lebsack J. Reconceptualizing the Family to Improve Inclusion in Childhood Disability Research and Practice. FRONTIERS IN REHABILITATION SCIENCES 2021; 2:710580. [PMID: 36188823 PMCID: PMC9397813 DOI: 10.3389/fresc.2021.710580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/16/2021] [Accepted: 08/16/2021] [Indexed: 11/26/2022]
Abstract
The World Health Organization's International Classification of Functioning, Disability and Health recognizes that environmental factors impact well-being and life participation for children with disabilities. A primary environment in which children grow and learn is the family. The importance of family has long been recognized in family-centered practice and family-centered research. Although family-centered services and research have been critically explored, the concept of family has received less critical attention in rehabilitation literature. The family construct is due for an updated conceptualization with careful consideration of the implications for childhood disability rehabilitation practice and research. Interrogating the family construct asks questions such as: who is included as a part of the family? Which family structures are prioritized and valued? What is the potential harm when some families are ignored or underrepresented in childhood disability practice and research? What implications could a modern rethinking of the concept of family have on the future of childhood rehabilitation practice and research? This perspective article raises these critical questions from the authors' perspectives as parents of children with disabilities, child focused rehabilitation professionals, and researchers that focus on service delivery in children's rehabilitation and family engagement in research. A critical reflection is presented, focused on how the construct of family affects children's rehabilitation practice and research, integrating concepts of equity, inclusion and human rights. Practical suggestions for children's rehabilitation service providers and researchers are provided to aid in inclusive practices, critical reflection, and advocacy.
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Affiliation(s)
- Michelle Phoenix
- CanChild, McMaster University, Hamilton, ON, Canada
- Faculty of Health Sciences, School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada
- *Correspondence: Michelle Phoenix
| | - Meaghan Reitzel
- CanChild, McMaster University, Hamilton, ON, Canada
- Faculty of Health Sciences, School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada
| | | | - Jeanine Lebsack
- IWK Strongest Families Research Institute, Halifax, NS, Canada
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Napoli SB, Vitale MP, Cafiero PJ, Micheletti MB, Bradichansky PP, Lejarraga C, Urinovsky MG, Escalante A, Rodriguez E, Schiariti V. Developing a Culturally Sensitive ICF-Based Tool to Describe Functioning of Children with Autism Spectrum Disorder: TEA-CIFunciona Version 1.0 Pilot Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:3720. [PMID: 33918291 PMCID: PMC8038152 DOI: 10.3390/ijerph18073720] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/09/2021] [Revised: 03/08/2021] [Accepted: 03/23/2021] [Indexed: 01/20/2023]
Abstract
BACKGROUND Autism spectrum disorder (ASD) affects the daily functioning of children and their families; however, in Argentina, there are no standardized tools to guide the description, evaluation, and follow-up of functioning and disability of children with ASD. To fill this gap, the overarching purpose of this study was to create a novel tool guided by the International Classification of Functioning, Disability, and Health (ICF) Core Sets for ASD for clinical practice. METHODS A multistep methodology was used to identify the most relevant ICF categories for an Argentinian clinical setting. The content of this ICF-based shortlist was piloted and revised according to the results. Subsequently, a toolbox of measures was proposed to operationalize each ICF category. Finally, profiles of the functioning of 100 children with ASD were created. RESULTS An ICF-based tool called TEA-CIFunciona was created, consisting of 32 ICF categories (10 body functions, 15 activities and participation, 7 environmental factors categories). The application of TEA-CIFunciona incorporated a family-centered approach in ASD evaluations and helped identify functional needs. CONCLUSIONS TEA-CIFunciona is the first ICF-based instrument that guides the description of functioning of children with ASD in Argentina. TEA-CIFunciona standardizes collaborative assessments in pediatric ASD populations in Latin American contexts.
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Affiliation(s)
- Silvana B. Napoli
- Division of Interdisciplinary Clinics, Child Developmental Pediatric Unit, Children Hospital JP Garrahan, Buenos Aires C 1245 AAM C.A.B.A, Argentina; (M.P.V.); (P.J.C.); (M.B.M.); (P.P.B.); (C.L.); (M.G.U.); (A.E.); (E.R.)
| | - María Paula Vitale
- Division of Interdisciplinary Clinics, Child Developmental Pediatric Unit, Children Hospital JP Garrahan, Buenos Aires C 1245 AAM C.A.B.A, Argentina; (M.P.V.); (P.J.C.); (M.B.M.); (P.P.B.); (C.L.); (M.G.U.); (A.E.); (E.R.)
| | - Pablo J. Cafiero
- Division of Interdisciplinary Clinics, Child Developmental Pediatric Unit, Children Hospital JP Garrahan, Buenos Aires C 1245 AAM C.A.B.A, Argentina; (M.P.V.); (P.J.C.); (M.B.M.); (P.P.B.); (C.L.); (M.G.U.); (A.E.); (E.R.)
| | - María Belén Micheletti
- Division of Interdisciplinary Clinics, Child Developmental Pediatric Unit, Children Hospital JP Garrahan, Buenos Aires C 1245 AAM C.A.B.A, Argentina; (M.P.V.); (P.J.C.); (M.B.M.); (P.P.B.); (C.L.); (M.G.U.); (A.E.); (E.R.)
| | - Paula Pedernera Bradichansky
- Division of Interdisciplinary Clinics, Child Developmental Pediatric Unit, Children Hospital JP Garrahan, Buenos Aires C 1245 AAM C.A.B.A, Argentina; (M.P.V.); (P.J.C.); (M.B.M.); (P.P.B.); (C.L.); (M.G.U.); (A.E.); (E.R.)
| | - Celina Lejarraga
- Division of Interdisciplinary Clinics, Child Developmental Pediatric Unit, Children Hospital JP Garrahan, Buenos Aires C 1245 AAM C.A.B.A, Argentina; (M.P.V.); (P.J.C.); (M.B.M.); (P.P.B.); (C.L.); (M.G.U.); (A.E.); (E.R.)
| | - Maria Gabriela Urinovsky
- Division of Interdisciplinary Clinics, Child Developmental Pediatric Unit, Children Hospital JP Garrahan, Buenos Aires C 1245 AAM C.A.B.A, Argentina; (M.P.V.); (P.J.C.); (M.B.M.); (P.P.B.); (C.L.); (M.G.U.); (A.E.); (E.R.)
| | - Anabella Escalante
- Division of Interdisciplinary Clinics, Child Developmental Pediatric Unit, Children Hospital JP Garrahan, Buenos Aires C 1245 AAM C.A.B.A, Argentina; (M.P.V.); (P.J.C.); (M.B.M.); (P.P.B.); (C.L.); (M.G.U.); (A.E.); (E.R.)
| | - Estela Rodriguez
- Division of Interdisciplinary Clinics, Child Developmental Pediatric Unit, Children Hospital JP Garrahan, Buenos Aires C 1245 AAM C.A.B.A, Argentina; (M.P.V.); (P.J.C.); (M.B.M.); (P.P.B.); (C.L.); (M.G.U.); (A.E.); (E.R.)
| | - Verónica Schiariti
- Division of Medical Sciences, University of Victoria, Victoria, BC V8W 2Y2, Canada;
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Brugnaro BH, Lima CRG, Campos ACD, Rocha NACF. Translation of the “F-Words Tools” into Brazilian Portuguese. FISIOTERAPIA EM MOVIMENTO 2021. [DOI: 10.1590/fm.2021.34110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Introduction: The International Classification of Functionality, Disability and Health (ICF) determines that for any health condition, functionality is the result of the multidirectional relationship between the positive aspects of the components of body structures and functions, activities, participation and contextual factors, encompassing personal and environmental factors. Objective: To translate and culturally adapt the “F-Words Tools” into Brazilian Portuguese. Methods: Permission to translate was granted by the authors. After reading and understanding the instruments, a researcher performed a non-certified translation into Brazilian Portuguese. Next, the back translation into English was done by a specialist in both languages without prior knowledge of the original versions. The result of the back translation was sent to the authors of the instrument for verification of semantics and content. Based on the authors' recommendations and the results of translation analyses, there was no need for cultural adaptation. Results: The back translation was approved by the authors, indicating that the Brazilian Portuguese version of all instruments was adequate. The translated titles are: Termo de Compromisso (Agreement), Colagem (Collage), Perfil (Profile) and Folha de Metas (Goal Sheet). The ICF framework was entitled: “The ICF model and My Favorite Words”. The material is available free of charge at the CanChild website. Conclusion: The translation into Brazilian Portuguese allows materials to be used in Brazil to disseminate the concepts of the ICF and the “F-words” in clinical and family settings.
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Wong Chung R, Willemen A, Voorman J, Ketelaar M, Becher J, Verheijden J, Schuengel C. Managing oneself or managing together? Parents’ perspectives on chronic condition self-management in Dutch pediatric rehabilitation services. Disabil Rehabil 2019; 42:3348-3358. [DOI: 10.1080/09638288.2019.1594396] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- Ruud Wong Chung
- Department of Educational and Family studies, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands
- Amsterdam Public Health research institute, Amsterdam, the Netherlands
- Merem Medical Rehabilitation, Almere, the Netherlands
| | - Agnes Willemen
- Department of Educational and Family studies, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands
- Amsterdam Public Health research institute, Amsterdam, the Netherlands
| | - Jeanine Voorman
- Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, the Netherlands
- Department of Rehabilitation, Physical Therapy Science & Sports, University Medical Center, Utrecht, Utrecht, the Netherlands
| | - Marjolijn Ketelaar
- Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, the Netherlands
| | - Jules Becher
- Department of Rehabilitation Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands
| | - Johannes Verheijden
- BOSK-Association for persons with a physical disability, Utrecht, the Netherlands
| | - Carlo Schuengel
- Department of Educational and Family studies, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands
- Amsterdam Public Health research institute, Amsterdam, the Netherlands
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Sideri S, Marcenes W, Stansfeld SA, Bernabé E. Family environment and traumatic dental injuries in adolescents. Dent Traumatol 2018; 34:438-444. [PMID: 30221822 DOI: 10.1111/edt.12442] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2018] [Revised: 09/11/2018] [Accepted: 09/11/2018] [Indexed: 11/28/2022]
Abstract
BACKGROUND/AIMS No comprehensive assessment of the influence of the home environment on traumatic dental injuries (TDI) has been conducted to date. The aim of this study was to explore the relationship between family environment and TDI among adolescents from East London. MATERIALS AND METHODS This cross-sectional study used data from 646 adolescents who participated in phase III of the Research with East London Adolescents Community Health Survey (RELACHS). Family environment was measured with four indicators (non-nuclear family, discordant parental relationship and levels of parental support and parental punishment) measured through a self-administered questionnaire. Clinical examinations were performed for TDI, overjet and lip coverage. Logistic regression was used to test the crude and adjusted (controlling for sociodemographic and clinical factors) association of each family environment characteristic with TDI prevalence. RESULTS Twenty-nine percent of adolescents were from non-nuclear families, and 52.3% reported a discordant parental relationship. The mean score for parental support was -0.01 (SD: 0.90, range: -0.11 to 0.08), and the mean parental punishment score was 0.03 (SD: 0.86, range: -0.04 to 0.10). Adolescents from non-nuclear families had 1.63 (95% confidence interval: 1.06-2.53) greater odds of having TDI than those from nuclear families. However, this association was fully attenuated after adjusting for sociodemographic and clinical factors. The other three indicators of family environment were not associated with TDI either in crude or adjusted regression models. CONCLUSION This study found weak evidence of an association between family environment and TDI.
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Affiliation(s)
- Sofia Sideri
- Dental Public Health, King's College London Dental Institute at Guy's, King's College and St Thomas Hospitals, London, UK
| | - Wagner Marcenes
- Dental Public Health, King's College London Dental Institute at Guy's, King's College and St Thomas Hospitals, London, UK
| | - Stephen A Stansfeld
- Wolfson Institute of Preventive Medicine, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Eduardo Bernabé
- Dental Public Health, King's College London Dental Institute at Guy's, King's College and St Thomas Hospitals, London, UK
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Bourke-Taylor HM, Jane FM. Mothers' Experiences of a Women's Health and Empowerment Program for Mothers of a Child with a Disability. J Autism Dev Disord 2018; 48:2174-2186. [PMID: 29417434 DOI: 10.1007/s10803-018-3486-0] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Substantial research identifies mothers of children with a disability as a vulnerable group with compromised health outcomes and restrictions for their own self-care, social, economic and leisure participation. This study investigated perceptions and experiences of mothers following attendance at health education and empowerment workshops (Healthy Mothers Healthy Families). Mixed methods evaluated mothers' experiences. A pragmatic qualitative approach was applied to data analysis of interviews with mothers (N = 19). Four themes emerged: Changes for me; Changes for my family; Wisdom gained; and Worthwhile workshops. Mothers described feeling validated and empowered in this facilitated group intervention and valued education about women's health, tailored research findings, individualised goal setting, time to learn and share with other mothers, and the workshop environment.
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Affiliation(s)
- Helen M Bourke-Taylor
- Occupational Therapy Department, School of Primary and Allied Health Care, Monash University, Peninsula Campus, Building G, Level 4, Peninsula Campus, McMahons road, Frankston, VIC, 3192, Australia.
| | - Fiona M Jane
- Women's Health Research Program, Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC, 3002, Australia
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Ferreira HNC, Schiariti V, Regalado ICR, Sousa KG, Pereira SA, Fechine CPNDS, Longo E. Functioning and Disability Profile of Children with Microcephaly Associated with Congenital Zika Virus Infection. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:E1107. [PMID: 29844290 PMCID: PMC6025082 DOI: 10.3390/ijerph15061107] [Citation(s) in RCA: 42] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/17/2018] [Revised: 05/23/2018] [Accepted: 05/23/2018] [Indexed: 01/12/2023]
Abstract
INTRODUCTION The increase in the number of cases of microcephaly in Brazil and its association with the Zika virus (ZIKV) is a global public health problem. The International Classification of Functioning Disability and Health (ICF) model is a powerful tool and extremely relevant in managing disability. OBJECTIVE Describe the functioning profile of children with microcephaly associated with ZIKV in two states of northeastern Brazil. METHODS This is a descriptive cross-sectional study. The sociodemographic characteristics, head circumference, and other clinical data were collected from medical charts, physical examinations, measuring instruments, and interviews with the children and their parents. The Brazilian Portuguese version of the Brief Common ICF Core Set for cerebral palsy (CP) was used. Each ICF category was assigned a qualifier, which ranged from 0 to 4 (no problem, mild problem, moderate problem, severe problem, complete problem). For environmental factors, 0 represents no barrier and 4 represents complete barrier; +0, no facilitator and +4, complete facilitator. RESULTS A total of 34 children with microcephaly caused by ZIKV were recruited (18 girls and 16 boys) at four rehabilitation facilities in Rio Grande do Norte and Paraíba states, Brazil. The average age of the participants was 21 months, monthly income was ≈USD 300.00, and head circumference z-scores ranged between 0.92 and -5.51. The functioning profile revealed complete disability in most of the body function categories (b). The activity and participation areas (d) were highly impacted, particularly in mobility-related categories. With respect to environmental factors (e), most of the sample reported a complete facilitator for the immediate family, friends, and health services, systems, and policies, as well as a complete barrier to societal attitudes. CONCLUSION This is the first study that describes the functioning profile of children with microcephaly associated with ZIKV, using a tool based on the ICF in Brazil. Our findings reinforce the need to maximize health care and access to information, based on the ICF, for multiprofessional teams, administrators, family members, and children.
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Affiliation(s)
- Haryelle Náryma Confessor Ferreira
- Postgraduate Program in Collective Health, Federal University of Rio Grande do Norte-Faculty of Health Sciences of Trairi (UFRN-FACISA), Santa Cruz 59200-000, Brazil.
| | - Veronica Schiariti
- Division of Medical Sciences, University of Victoria, BC V8W 2Y2, Canada.
| | | | - Klayton Galante Sousa
- Postgraduate Program in Collective Health, Federal University of Rio Grande do Norte-Faculty of Health Sciences of Trairi (UFRN-FACISA), Santa Cruz 59200-000, Brazil.
| | - Silvana Alves Pereira
- Postgraduate Program in Collective Health, Federal University of Rio Grande do Norte-Faculty of Health Sciences of Trairi (UFRN-FACISA), Santa Cruz 59200-000, Brazil.
| | | | - Egmar Longo
- Postgraduate Program in Collective Health, Federal University of Rio Grande do Norte-Faculty of Health Sciences of Trairi (UFRN-FACISA), Santa Cruz 59200-000, Brazil.
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